Muszbek Katalin, Gaal Ilona
Magyar Hospice Alapítvány Budapest, Kenyeres u. 18-22., 1032.
Orv Hetil. 2016 Apr 24;157(17):649-53. doi: 10.1556/650.2016.30454.
There is a "confusion of tongues" in the communication between patient and physician that hinders mutual understanding. Cancer - because of its malignant and often chronic nature - accentuates the communication problems and emphasizes the importance of human relationship. The confusion of tongues can only be resolved through understanding of the situation and motivations of the other person. Thus our aim is to help medical doctors to recognize and understand the most important communication characteristics of the doctor-patient interactions that are strained by the burden of cancer. Interviews with directly concerned professionals and non-professionals were recorded in order to reveal the most common communication disturbances. The majority of the "communication vacuum" arose when bad news should be disclosed for the patient, as bad news is bad for the physician as well. It is emotionally burdening to perceive bad news, and a big challenge for the physician to break it gently, to be tactful, while he/she has no possibility to pay attention with regard to his/her own emotional stability. Medical doctors can cope with this challenge if they are acquainted with the psychological difficulties of the patients that block the effective medical communication.
患者与医生之间的沟通存在“语言混乱”，这阻碍了双方的相互理解。癌症——由于其恶性且往往具有慢性的特性——加剧了沟通问题，并凸显了人际关系的重要性。只有通过了解对方的处境和动机，才能解决这种语言混乱。因此，我们的目标是帮助医生认识和理解因癌症负担而变得紧张的医患互动中最重要的沟通特征。我们对直接相关的专业人士和非专业人士进行了访谈录音，以揭示最常见的沟通障碍。当需要向患者披露坏消息时，大多数“沟通真空”就会出现，因为坏消息对医生来说也不好。感知坏消息会带来情感负担，而医生要委婉、巧妙地传达坏消息是一项巨大的挑战，因为此时他/她无法顾及自身的情绪稳定。如果医生了解阻碍有效医疗沟通的患者心理困难，他们就能应对这一挑战。
